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Reported cases of Lyme disease in the United States, 2012
Life cycle of Ixodes scapularis.
Ixodes scapularis. From left to right: adult female, adult male, nymph, and larva. The scale is in centimeters.
Erythema migrans (bull’s-eye appearance).
Multiple erythema migrans.
Frequency of Initial Clinical Manifestations of Lyme Disease (9)
Predictive Value of Serologic Testsa
↵a Results are for the theoretical population of 10,000 persons and are given as numbers, except for predictive values, which are percentages. In each case, the test is 95% sensitive and 90% specific.
↵b Predictive value of a positive test result.
↵c Predictive value of a negative test result.
Recommended Routes and Durations of Treatment for Lyme Disease
↵a Doxycycline may be administered for 10 days in uncomplicated cases.
↵b Doxycycline may be substituted after symptoms have resolved.
↵c At the time of discharge, the patient may receive oral medication to complete therapy.
Recommended Drugs and Doses for Treatment of Lyme Disease
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